HCFA 1500 VS CMS 1500The Seven Big
Changes

HCFA 1500 Vs CMS 1500 - what are the changes? The standard HCFA 1500
(12-90) form that the medical profession has used for many years is now
outdated and being replaced by the "new and improved" CMS 1500 (08-05)
form. There are many differences in the two forms. Some language was
removed, some changed, some added, and the size of many boxes was
increased or decreased. Some of the boxes are split and some are shaded.
Here are the seven top changes you will need to know about to properly
complete a CMS 1500 form.

1. The new CMS 1500 accommodates the
reporting of the NPI number. This is by far the most important change in
the new form. The former locations for provider identification numbers are
now split into two boxes with one half of the box shaded. The NPI number
goes in the lower area of the proper box with the other ID numbers
directly above in the shaded area of the split box.

2. The bar
code was removed from the header. The bar code was removed to allow for a
larger space in the header for the payer address
information.

3. "Please do not staple in this area" was
removed from the header. Medicare asks you to staple attachments to the
top center of a single claim form.

4. "Tricare" was added above
"Champus" in box 1.

5. "Type of Service" was removed from box 24C.
This field is now called "EMG". The NUCC states that feedback from the
industry was that Type of Service was no longer required for a claim.

6. The field "Reserved for local use" was removed.

7.
"NUCC Instruction Manual available at: www.nucc.org" was added.

These are the biggest changes you will notice in HCFA 1500 Vs CMS 1500 when you start completing
the new revised forms. Make sure you look them over carefully so you have
a smooth transition from the HCFA 1500 to CMS 1500 forms.